How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $15.85 Median $37.15 Typical High $56.23 | Facility | None | $15.85 | $37.15 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $37.15 | Professional | None | $15.85 | $22.39 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $16.60 Typical High $30.90 | Professional | None | $9.33 | $16.60 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.88 Typical High $25.70 | Professional | UE · Used equipment | $12.59 | $12.88 | $25.70 |
BCBS Kansas City Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $38.02 | Professional | None | $22.39 | $22.39 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $23.44 | Facility | None | $18.20 | $21.88 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $37.15 Typical High $165.96 | Facility | None | $19.05 | $37.15 | $165.96 |
Medica Setting Professional Modifier None Typical Low $12.88 Median $18.20 Typical High $194.98 | Professional | None | $12.88 | $18.20 | $194.98 |
United Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $28.18 | Professional | None | $12.30 | $18.20 | $28.18 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $3.39 Typical High $5.50 | Professional | 55 · Aftercare only | $2.34 | $3.39 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $2.24 Typical High $3.72 | Professional | 56 · Pre-op care only | $1.58 | $2.24 | $3.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.66 Typical High $2.51 | Professional | RR · Rental | $1.66 | $1.66 | $2.51 |
Where Missouri sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 47th of 51
$18.20
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.